Revista Iberoamericana de Cirugia de la Mano最新文献

{"title":"Giant hand osteolipoma: Case Report Osteolipoma gigante de mano: Relato de Caso","authors":"María Eugenia Torres Echavarría, Liber Joaquín Fraga García, María Victoria Machado Silveira","doi":"10.1055/s-0040-1719015","DOIUrl":"https://doi.org/10.1055/s-0040-1719015","url":null,"abstract":"Abstract Hand lipomas are rare in the hand, and they account for less than 1% of tumors. Osteolipoma is a rare variant of lipoma that is associated with bone metaplasia. It presents as a painless tumor that can cause symptoms when compressing adjacent structures. Magnetic resonance imaging (MRI) is the imaging study of choice. The treatment is surgical resection, with no recurrences being reported. We present the case of a patient with a giant subfascial hand osteolipoma, which, to the best of our knowledge has not yet been reported in the literature. Resumen Los lipomas son infrecuentes en la mano, y representan menos del 1% de los tumores. El osteolipoma es una variante rara del lipoma que se caracteriza por presentar metaplasia ósea. Se presenta como una tumoración indolora que puede ser sintomática al comprimir estructuras adyacentes. La resonancia nuclear magnética (RNM) es el estudio de imagen de elección. El tratamiento es quirúrgico, no habiéndose relatado recurrencias. Presentamos el caso de una paciente con un osteolipoma gigante subfascial de mano, hasta ahora no relatado en la literatura.","PeriodicalId":32931,"journal":{"name":"Revista Iberoamericana de Cirugia de la Mano","volume":"49 1","pages":"074 - 078"},"PeriodicalIF":0.0,"publicationDate":"2021-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1719015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58127446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Luxación Volar Bloqueada de la Articulación Metacarpofalángica del Pulgar. Reducción Abierta con Técnica WALANT","authors":"Beatriz Hernández González, Patricia Balvís Balvís, Constantino Iglesias Núñez","doi":"10.1055/s-0043-1769606","DOIUrl":"https://doi.org/10.1055/s-0043-1769606","url":null,"abstract":"Resumen Presentamos el caso clínico de una paciente que sufre una luxación volar de la articulación metacarpofalángica (MCF) del pulgar en la mano izquierda. Objetivamos la necesidad de reducción abierta dada la severa inestabilidad articular asociada, por la rotura del ligamento colateral cubital (LCC) y la interposición de partes blandas. Para la revisión quirúrgica utilizamos la técnica WALANT, técnica anestésica empleada en cirugías de miembro superior que está demostrando importantes ventajas respecto a las técnicas habituales. Abstract We present the clinical case of a patient with a volar dislocation of the metacarpophalangeal joint (MCP) of the thumb in the left hand. The severe associated joint instability resulting from the rupture of the ulnar collateral ligament (UCL) and soft tissue interposition required an open reduction. For surgical revision, we used the WALANT technique, an anesthetic technique for upper limb surgeries showing significant advantages over the usual techniques.","PeriodicalId":32931,"journal":{"name":"Revista Iberoamericana de Cirugia de la Mano","volume":"51 1","pages":"e056 - e059"},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44970422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congenital Radial Dysplasia","authors":"Manuel Becerra, Pamela Escalona D'Angelo, Magdalena Pérez","doi":"10.1055/s-0042-1748850","DOIUrl":"https://doi.org/10.1055/s-0042-1748850","url":null,"abstract":"Abstract Radial dysplasia (RD) is a congenital condition which can affect the entire upper limb, compromising multiple tissues, and it always features alterations in the thumb. It can be uni- or bilateral condition, the latter being very disabling. Treatment with manipulations, casts and/or orthoses is recommended for the least severe presentations of this disease. The surgical treatment is reserved for the most severe cases, and carpal centralization is the treatment of choice today. The most frequent complication of this intervention is the recurrence of the deformity. The patients submitted to the surgical treatment report a significant improvement in the cosmetic aspect of the extremity. The current challenge is to improve the follow-up and the use of functional assessment tools regarding the results. Resumen La displasia radial (DR) es una condición congénita que puede afectar toda la extremidad superior, comprometiendo diversos tejidos, y está siempre acompañada de una alteración del pulgar. La RD puede ser uni o bilateral, siendo en este último caso muy discapacitante. El tratamiento con manipulaciones, yeso y/u órtesis se indica para presentaciones leves de la enfermedad. El tratamiento quirúrgico queda reservado para los casos más severos, siendo la centralización del carpo el tratamiento de elección hoy. La complicación más frecuente de esta intervención es la recurrencia de la deformidad. Los pacientes operados mejoran significativamente el aspecto estético de la extremidad. El desafío actual es mejorar el seguimiento y el uso de herramientas de evaluación funcional respecto a los resultados.","PeriodicalId":32931,"journal":{"name":"Revista Iberoamericana de Cirugia de la Mano","volume":"50 1","pages":"e43 - e48"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49586317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior Interosseous Nerve Palsy Associated with Multiple Epiphyseal Dysplasia","authors":"M. A. De la Red-Gallego, S. Barrera-Ochoa, Mónica Fernández Alvarez","doi":"10.1055/s-0042-1742691","DOIUrl":"https://doi.org/10.1055/s-0042-1742691","url":null,"abstract":"Abstract Multiple epiphyseal dysplasia is a condition that courses with a retarded epiphyseal development and may cause joint dysmorphia. We report a case of posterior interosseous nerve palsy in a child with dysplasia. After a physical examination and complementary diagnostic tests that revealed posterior interosseous nerve compression neuropathy, surgical neurolysis og the posterior interosseous nerve was performed at level of the the arcade of Frohse. The satisfactory evolution of the patient confirmed our diagnosis. Attention must be paid to the onset of signs or symptoms of nerve compression in these patients. Resumen La displasia epifisaria múltiple es una condición que se caracteriza por el retraso en la aparición de las fisis, y que puede provocar dismorfias articulares. Presentamos un caso de paresia del nervio interóseo posterior en una niña con displasia. Tras la realización de un examen físico y pruebas diagnósticas complementarias que evidenciaron neuropatía compresiva del nervio interóseo posterior, se procedió a realizar la neurólisis del interóseo posterior a nivel de la arcada de Frohse. La evolución satisfactoria de la paciente apoyó nuestro diagnóstico. Ha de prestarse atención a la aparición de signos o síntomas de compresión nerviosa en estos pacientes.","PeriodicalId":32931,"journal":{"name":"Revista Iberoamericana de Cirugia de la Mano","volume":"50 1","pages":"e60 - e63"},"PeriodicalIF":0.0,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44113112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse Presentación de la “muñeca SOAC”: Colapso avanzado por artrosis escafotrapeciotrapezoidea","authors":"R. K. Oliveira, M. Aita, J. Brunelli, V. Carratalá, P. Delgado","doi":"10.1055/s-0040-1721045","DOIUrl":"https://doi.org/10.1055/s-0040-1721045","url":null,"abstract":"Abstract Despite being the second most common osteoarthritis of the wrist, little is known about scaphotrapeziotrapezoid osteoarthritis. Not all patients with this type of osteoarthritis have symptoms, and, even in those symptomatic patients, the intensity of the complaint is not proportional to the severity of the degeneration. In symptomatic patients, when the conservative treatment fails, grading classifications to help define the surgical treatment are solely based on the joint characteristics, and fail to assess the rest of the carpus. In general, most carpal degenerative processes show the same evolution pattern, which varies according to the initial injury, along with the type of deformity and the inherent instabilities. Thus, we hypothesize that the degenerative evolution due to primary osteoarthritis of the scaphotrapeziotrapezoid joint also follows a logical evolutionary sequence, similar to the one that occurs in cases of scapholunate advanced collapse (SLAC), scaphoid nonunion advanced collapse (SNAC), scaphoid malunion advanced collapse (SMAC), and scaphoid chondrocalcinosis advanced collapse (SCAC), thus resulting in scaphotrapeziotrapezoid osteoarthritis advanced collapse (SOAC). We have divided the SOAC into three groups, and considered that their treatment shall be guided by the evolutionary stage of the disease, and not by the surgeon's preferred technique. Resumen A pesar de constituir la segunda causa más común de artrosis de la muñeca, poco se conoce sobre la artrosis escafotrapeciotrapezoidea. No todos los pacientes con este tipo de artrosis presentan síntomas, y, incluso en los pacientes sintomáticos, la intensidad de las quejas no es proporcional a la gravedad de la degeneración. En los pacientes sintomáticos, cuando fracasa el tratamiento conservador, las clasificaciones de los grados para ayudar a definir el tratamiento quirúrgico se basan únicamente en las características de la articulación, y no evalúan el resto del carpo. En general, la mayoría de los procesos degenerativos carpianos muestra el mismo patrón de evolución, el cual varía de acuerdo con la lesión inicial junto con el tipo de deformidad y las inestabilidades inherentes. Por lo tanto, nuestra hipótesis es la de que la evolución degenerativa debida a la artrosis primaria de la articulación escafotrapeciotrapezoidea también obedece a una secuencia evolutiva lógica, similar a la que ocurre en el colapso avanzado escafolunar scapholunate advanced collapse (SLAC), scaphoid nonunion advanced collapse (SNAC), scaphoid malunion advanced collapse (SMAC), and scaphoid chondrocalcinosis advanced collapse (SCAC), thus resulting in scaphotrapeziotrapezoid osteoarthritis advanced collapse (SOAC). Hemos dividido al SOAC en tres grupos, y consideramos que su tratamiento deberá estar guiado por la etapa evolutiva de la enfermedad, y no por la técnica preferida por el cirujano.","PeriodicalId":32931,"journal":{"name":"Revista Iberoamericana de Cirugia de la Mano","volume":"48 1","pages":"93 - 100"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42848889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Great Specialty Deserves Recognition El merecido reconocimiento a una gran especialidad","authors":"Joaquim Casañas Sintes","doi":"10.1055/s-0040-1721008","DOIUrl":"https://doi.org/10.1055/s-0040-1721008","url":null,"abstract":"","PeriodicalId":32931,"journal":{"name":"Revista Iberoamericana de Cirugia de la Mano","volume":"48 1","pages":"71 - 71"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47712577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Update on the Use of Arthroscopy in Kienböck's Disease Management Actualización de la utilidad de la Artroscopia en el Manejo de la Enfermedad de Kienböck","authors":"R. Aguilera, Camila Sanhueza","doi":"10.1055/s-0040-1721047","DOIUrl":"https://doi.org/10.1055/s-0040-1721047","url":null,"abstract":"Abstract Kienböck's disease is a clinical-radiological condition that can permanently affect wrist functionality and the patient's quality of life. Proper, pertinent diagnosis and treatment are required to avoid salvage procedures. Arthroscopic techniques have emerged as an important tool for the treatment of certain stages of the disease. We present a review of the literature and propose a treatment algorithm according to the stage of the disease, including arthroscopic techniques. We detail the surgical technique of arthroscopic scaphocapitate arthrodesis, and the functional outcomes obtained by our group. Resumen La enfermedad de Kienböck es una condición clínico-radiológica que puede afectar de manera permanente la funcionalidad de la muñeca y la calidad de vida del paciente. Se requiere de un diagnóstico y manejo oportuno para evitar la necesidad de cirugías de salvataje. Las técnicas artroscópicas han aparecido como importante herramienta para el manejo en ciertas etapas de la enfermedad. Realizamos una revisión de la literatura y proponemos un esquema de manejo según estadío de la enfermedad incluyendo técnicas artroscópicas. Detallamos la técnica quirúrgica de la artrodesis escafocapitate artroscópica y resultados funcionales obtenidos por nuestro grupo de trabajo.","PeriodicalId":32931,"journal":{"name":"Revista Iberoamericana de Cirugia de la Mano","volume":"48 1","pages":"119 - 127"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48111951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous Reconstruction of the Ulnar Collateral Ligament of the Metacarpophalangeal Joint of the Thumb: Technique and Results Reconstrucción percutánea del ligamento colateral ulnar de la articulación metacarpofalángica del pulgar: Técnica y resultados","authors":"J. M. Herrera, L. Herrera, Pablo Rotella, Raquel Cantero Téllez, Jimena Castellanos, F. Vázquez","doi":"10.1055/s-0040-1719014","DOIUrl":"https://doi.org/10.1055/s-0040-1719014","url":null,"abstract":"Abstract Objectives The present study aims to describe a new percutaneous technique for the reconstruction of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb with a tendon graft, and to evaluate the functional outcomes and stability six months postoperatively. Material and methods The percutaneous ligamentoplasty technique was performed with a palmaris longus tendon graft and tenodesis screws in 6 patients with ulnar instability of the thumb (> 30° degrees of radial deviation) for more than 6 weeks. Range of motion, grip strength, and pinch strength (lateral/key pinch, tip pinch, and palmar pinch) were assessed in comparison to the contralateral limb, as well as the Quick Disabilities of the Arm, Shoulder and Hand (DASH) score. Results At 6 months, the joint movement was of 100%, the grip strength was of 94.8%, the key pinch was of 95%, the palmar pinch was of 85.7%, and the tip pinch was of 93.5% compared to the contralateral limb. The internal tilt was of 14° compared to 9° at the contralateral limb. The Quick DASH score decreased from 24.2 to 2.6 points. Conclusion We devised this versatile surgical procedure to obtain early mobility with the advantages related to the percutaneous techniques. Resumen Objetivo El objetivo de este trabajo es presentar una nueva técnica percutánea de reconstrucción del ligamento colateral ulnar de la articulación metacarpofalángica del pulgar con injerto tendinoso, y evaluar los resultados funcionales y la estabilidad a los seis meses postoperatorios. Material y métodos Se realizó la técnica de ligamentoplastia percutánea con injerto de tendón del músculo palmaris longus y tornillos de tenodesis en 6 pacientes que presentaban inestabilidad ulnar de pulgar (> 30° de desviación radial) con más de 6 semanas de evolución. Se valoró el rango de movilidad, la fuerza de agarre (prensión), y la fuerza de pinzas (llave, palmar, y tres puntos) en comparación al miembro contralateral, así como la escala de Quick Disabilities of the Arm, Shoulder and Hand (DASH). Resultados A los 6 meses, el movimiento articular fue del 100%, la fuerza de agarre fue del 94.8%, la pinza de llave, del 95%, la pinza palmar, del 85,7%, y la pinza 3 puntos, del 93.5% en comparación al miembro contralateral. El bostezo interno fue de 14° en comparación con 9° en el miembro contralateral. El Quick DASH disminuyó de 24.2 a 2.6 puntos. Conclusión Ideamos este procedimiento quirúrgico versátil para obtener movilidad precoz y las ventajas que nos otorgan las técnicas percutáneas.","PeriodicalId":32931,"journal":{"name":"Revista Iberoamericana de Cirugia de la Mano","volume":"48 1","pages":"101 - 108"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1719014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46725952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconstruction of the Distal Oblique Bundle of the Interosseous Membrane with Extensor Carpi Radialis Hemitendon: A New Minimally-Invasive Technique Recostrucción de la banda oblicua distal del carpo con extensor de muñeca: Una nueva técnica mínimamente invasiva","authors":"F. Martínez-Martínez, Alberto Giménez-Ros, V. León-Muñoz, F. Santonja-Medina","doi":"10.1055/s-0040-1719013","DOIUrl":"https://doi.org/10.1055/s-0040-1719013","url":null,"abstract":"Abstract The main stabilizing element of the distal radioulnar joint (DRUJ) is the triangular fibrocartilage complex (TFCC). Secondary stabilizers include the distal oblique band (DOB), which is inconsistently found. When TFCC repair has failed or cannot be performed, DOB reconstruction is a therapeutic option. Even though distal radioulnar ligamentoplasty remains the technique of choice, recent papers show similar outcomes from both methods. We present two cases of successful DOB repair with the extensor carpi radialis longus (ECRL) hemitendon. Resumen El principal elemento estabilizador de la articulación radiocubital distal (ARCD) es el complejo fibrocartílago triangular (CFCT), y existen además estabilizadores secundarios, entre los que se encuentra de forma inconstante la banda oblicua distal (BOD). Cuando la reparación del CFCT ha fallado o no es posible realizarla, la reconstrucción de la BOD es una opción terapéutica; aunque la ligamentoplastia radiocubital distal sigue siendo la técnica de elección, están apareciendo artículos que manifiestan resultados similares entre ambas técnicas. Presentamos dos casos de reparación de BOD con hemitendón del extensor radial largo del carpo (ERLC) con buenos resultados.","PeriodicalId":32931,"journal":{"name":"Revista Iberoamericana de Cirugia de la Mano","volume":"48 1","pages":"138 - 142"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1719013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44891131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Free Non-vascularized Toe Phalangeal Transfers in Symbrachydactyly: Outcome Analysis Transferencia no vascularizada y libre de falanges del pie en simbraquidactilia: Análisis de resultados","authors":"Rita Sapage, J. Rosa, E. Pereira, M. Silva, Alexandre Pereira, César Silva","doi":"10.1055/s-0040-1718456","DOIUrl":"https://doi.org/10.1055/s-0040-1718456","url":null,"abstract":"Abstract Introduction Free nonvascularized toe phalangeal transfer is an established surgical option for the reconstruction of hypoplastic digits. The purpose of the present study was to evaluate our experience with this procedure and to assess bone growth and digit function as well foot morbidity. Material and Methods We retrospectively evaluated the clinical records for all children with symbrachydactyly submitted to free nonvascularized toe phalangeal transfer between 2002 and 2017. A total of 8 patients were included. We summoned the patients to an appointment to clinically assess the range of motion, the stability, and the alignment of the neo-joint. We radiographically measured the final length and the expected percentage of growth of the transferred phalanx. We also evaluated the foot for comorbidities. Results The mean age at the time of the first surgery was 19 months (range: 8–42 months). A total of 20 phalanges were harvested: 16 total proximal phalanges, 2 middle phalanges, 1 subtotal proximal phalanx, and 1 accessory thumb phalanx. The distal part of one proximal phalanx was trimmed because the skin pocket was too tight. Two patients underwent a secondary procedure to release the syndactyly. One transfer required revision surgery due to distal tip necrosis and exposition of the transferred phalanx. In the present series, the overall clinical and radiographic outcomes were compatible to those reported in other studies. Discussion The main limitation of the nonvascularized toe phalanx transfer is the preexisting soft tissue envelope of the finger and the limited growth potential of the transferred bone. Conclusion Irrespective of the amount of growth achieved in the transferred phalanx, the actual transfer and growth attained should not be viewed as the end result, but rather as a means of providing a stable and functional joint. Resumen Introducción La transferencia no vascularizada y libre de la falange del pie es una opción quirúrgica establecida para la reconstrucción de dedos hipoplásicos. El objetivo de este estudio fue analizar nuestra experiencia con este procedimiento y evaluar el crecimiento óseo y la función digital, así como la morbilidad del pie. Material y Métodos Analizamos retrospectivamente el proceso clínico de los niños (n = 8) con simbraquidactilia que se sometieron a una transferencia no vascularizada y libre de la falange del pie entre 2002 y 2017. Hicimos una consulta para evaluar clínicamente el rango de movilidad, la estabilidad, y la alineación de la nueva articulación. Medimos la longitud final y el porcentaje de crecimiento esperado de la falange transferida. Evaluamos el pie para la comorbilidad. Resultados La edad media al momento de la cirugía fue de 19 meses (rango: 8–42 meses). Se recogieron un total de 20 falanges: 16 falanges proximales totales, 2 falanges medianas, 1 falange proximal subtotal, y 1 falange accesoria del pulgar. La parte distal de una falange proximal se sacrificó porque la envoltura d","PeriodicalId":32931,"journal":{"name":"Revista Iberoamericana de Cirugia de la Mano","volume":"48 1","pages":"87 - 92"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1718456","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42202023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}